NP or PA - Family Medicine - Cosner's Corner - Fredericksburg VA
Mary Washington Healthcare
- Fredericksburg, VA
- Permanent
- Full-time
- In collaboration with physician, demonstrates ability to consul patients and family members about diagnosis, testing, surgery and risk of procedures.
- Performs comprehensive health assessments for the purpose of diagnosing and treating individuals.
- Formulates appropriate differential diagnosis, develop treatment plan to include appropriate diagnostics; identifies non-pharmacological interventions, appropriate pharmacological agents and education. The plan is based on mutually established priorities to maximize the heath potential of the patient.
- Provides relevant patient and family education; makes appropriate referrals to other professional and community agencies.
- Orders and provides preliminary interpretation of diagnostic studies.
- Prescribes non-pharmacological therapies and pharmacological agents within the defined scope of service and according to guidelines established by the supervising physician.
- Demonstrates the ability to use effective organizational/prioritization problem-solving and decision-making abilities in practice.
- Provides emergency treatments and initiates emergency life saving measures per ACLS guidelines.
- Meets all the requirements of the practice agreement with the supervising physician under the regulations and requirements of the Commonwealth of Virginia.
- Obtain, record and dictate medical histories
- Perform, record and dictate physical examinations
- Make daily rounds, record progress notes, write routine comfort and diet orders, order laboratory tests and non-invasive examinations, write approved routine orders, and change dressings
- Prepare patients for discharge from the hospital
- Dictate discharge and transfer summaries
- Evaluate patients who require a surgical consult
- Apply and change dressings
- Remove sutures and staples
- Perform venipunctures
- Insert IV needles and catheters
- Catheterize urinary bladder
- Pass nasogastric tubes
- Place and remove chest tubes and monitoring lines
- Irrigate chest tubes and catheters
- Remove intra-aortic balloon pump
- Debride, irrigate and pack surgical wounds
- Remove drainage catheters
- Educate patient/family regarding disease, procedures, medication, nutrition, healthcare, and post-discharge care
- Dictate letters to physicians, patients
- Act as liaison between patients and physicians
- Act as liaison between nursing and physicians
- Request consults from health agencies and act as liaison
- Make and receive phone calls to/from patients, physicians and nurses for information, advise, triage
- Maintain statistics
- Complete insurance forms and home health forms
- Maintain written material; teach devices and special equipment for use of personnel and patients.
- Registered Nurse licensed to practice in Virginia or eligible, required
- MSN, required
- AHA BLS Provider CPR required at hire
- Current Virginia state certification as an Adult Nurse Practitioner, required
- Recent adult medical-surgical experience (5 years of experience), required
- Ability to work effectively in emergency situations and under stress
- Proficient leadership skills
- Ability to work cooperatively/collaboratively as part of a team, developing productive working relationships with diverse groups of people.